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Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation. If you don't have an employer or are retired, please fill out the remaining fields with with N/A and enter 99999 in the zip code field.
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Thank you for supporting my campaign. I remain committed to serving the residents of Westfield and look forward to earning your vote in November.

If you would prefer to make your donation by check, please download my contribution form and mail your check to the address on the form.